{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T22:16:49Z","timestamp":1784326609332,"version":"3.55.0"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T00:00:00Z","timestamp":1663804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The aim of this study was to examine the impact of self\u2010tonometry on clinicians' decision in glaucoma treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Medical records of 133 patients who had performed self\u2010tonometry using iCare<jats:sup>\u00ae<\/jats:sup> Home between January and December 2019 were retrospectively reviewed. Inclusion criteria were as follows: age over 18\u2009years, all types of glaucoma, as well as ocular hypertension and glaucoma suspect, compliance with tonometer manufacturer's recommendations and monitoring over at least 2\u2009days. The data consisted of age, gender, diagnosis, visual field index, rate of progression and type of treatment pre\u2010 and post\u2010intraocular pressure (IOP) phasing. The following IOP measurements were used to calculate the mean and maximum IOP, and range over each day and consecutive days: Goldmann applanation tonometry (GAT) measurements from referral and training visits and iCare<jats:sup>\u00ae<\/jats:sup> Home measurements made by the trainers and the patients themselves. A total of 90 patients were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Clinicians were satisfied with the actual treatment in 54.4% of the cases. There was a statistically significant difference between the clinicians' decision to maintain same treatment or to escalate therapy for all the mean and maximum IOPs measured on each single day and over a 2\u2010 or 3\u2010day period (<jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.002).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our results suggest that the presence of high IOP values obtained with self\u2010tonometry supports an intensification of glaucoma treatment. Self\u2010tonometry provides clinicians with an important complement for clinical decision\u2010making, and under\u2010 or over\u2010treatment may be avoided for the benefit of patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.15256","type":"journal-article","created":{"date-parts":[[2022,9,23]],"date-time":"2022-09-23T06:15:10Z","timestamp":1663913710000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Impact of self\u2010tonometry on glaucoma treatment decision"],"prefix":"10.1111","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8878-1600","authenticated-orcid":false,"given":"Laurence","family":"Qu\u00e9rat","sequence":"first","affiliation":[{"name":"Division of Eye and Vision, Department of Clinical Neuroscience Karolinska Institute  Stockholm Sweden"},{"name":"Department of Anterior Segment Disorders, Glaucoma, Neuro\u2010Ophthalmology and Oculoplastics St. Erik Eye Hospital  Solna Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enping","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Eye and Vision, Department of Clinical Neuroscience Karolinska Institute  Stockholm Sweden"},{"name":"Department of Anterior Segment Disorders, Glaucoma, Neuro\u2010Ophthalmology and Oculoplastics St. Erik Eye Hospital  Solna Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00061198-200004000-00002"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.124.6.793"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-004-1103-8"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.126.8.1030"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.13129"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S198846"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2015-307674"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archophthalmol.2011.72"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2021-egsguidelines"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000351647"},{"issue":"251","key":"e_1_2_7_12_1","first-page":"1","article-title":"The glaucoma guidelines of the Swedish ophthalmological society","author":"Heijl A.","year":"2012","journal-title":"Acta Ophthalmologica. 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